Organization Active NPI

Creativecounseling Living & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winter Park, FL
National Provider Identifier
1306401906
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CREATIVECOUNSELING LIVING & WELLNESS, LLC
Practice address
1964 Howell Branch Rd Ste 110
Winter Park, FL 32792-1042
Phone
(407) 951-4207
Fax
(321) 348-2861
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dominique Michelle Battle, M.S., NCC, CFTNPI 1083015713
Title
Founder & Ceo
Phone
(407) 951-4207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1964 Howell Branch Rd Ste 110
Winter Park, FL 32792-1042

Mailing address

877 W Minneola Ave Unit 120946
Clermont, FL 34712-7039
Phone (407) 951-4207

Other practice location 1

333 17th St Ste W
Vero Beach, FL 32960-5687
Phone (407) 463-7968

Other practice location 2

5971 Brick Ct
2nd Floor
Winter Park, FL 32792-3279
Phone (407) 463-7968

Other names 1

  • GuidedSteps Counseling and Consulting, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

877 W Minneola Ave
Unit 120946
Clermont, FL 34712

5971 Brick Ct
Fl 2
Winter Park, FL 32792
Phone (407) 463-7968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1306401906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W MINNEOLA AVE UNIT 120946",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347127039",
            "telephone_number": "407-951-4207",
            "fax_number": "321-348-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD STE 110",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "407-951-4207",
            "fax_number": "321-348-2861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 17th St Ste W",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329605687",
            "country_code": "US",
            "telephone_number": "407-463-7968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5971 Brick Ct",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327923279",
            "country_code": "US",
            "telephone_number": "407-463-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVECOUNSELING LIVING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "407-951-4207",
        "authorized_official_credential": "M.S., NCC, CFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidedSteps Counseling and Consulting, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.